Official Seal, Everything Is Broken (2026)

Everything Is Broken

Report No. 1 · Nonprofit Hospital Executive Pay vs Charity Care · Annual Report, 2026 edition

Missouri · Ranked 191 of 1033 by CEO pay.

Lester E Cox Medical Centers

Max D Buetow, President & CEO. Fiscal year ending 2025-09.

$2.0M
CEO total compensation
Form 990 Part VII, columns D+E+F
2.17%
of expenses spent on charity care
Schedule H Part I line 7a
3.9%
CEO pay as a share of all charity care

Most of the reported compensation ($1,641,774 of $1,977,250) came from a related organization (Part VII column E) and was reported on this filing.

§1The filing

Total revenue
$2,386,317,626
Total expenses
$2,316,687,643
Net assets
$1,674,563,486
Employees
13,620
Hospitals covered
6 facilities across 4 filings
Charity care, net
$50,216,142
Bad debt
$145,128,428
Medicare surplus (shortfall), as filed
($212,869,831)
CEO pay from the organization (Part VII col. D)
$0
From related organizations (col. E)
$1,641,774
Other compensation, including deferred pay and nontaxable benefits (col. F)
$335,476
CEO total compensation (D+E+F)
$1,977,250 to Max D Buetow

Medicare surplus (shortfall) is Schedule H Part III line 7: Medicare revenue minus the cost of Medicare care. A figure in parentheses is a shortfall. Like bad debt, it is not community benefit on the IRS form.

Source: Form 990, Lester E Cox Medical Centers, EIN 44-0577118, fiscal year ending 2025-09, as published by the IRS. CEO identification: ceo title.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$149.1M Of which charity care to patients who could not pay (line 7a)$50.2M (34%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($145.1M) and Medicare shortfall are reported separately by the IRS and are not community benefit on the form.

§3Filings in this system

Filing entityEINFY endRevenueCharity care% of expensesFiling
Lester E Cox Medical Centers44-05771182025-09$2.0B$37.4M1.94%990
Skaggs Community Hospital Association44-05842902025-09$315.0M$9.7M3.34%990
Cox-Monett Hospital Inc43-16566892025-09$76.7M$2.2M3.17%990
Cox Barton County Hospital82-33007582025-09$33.7M$926,4952.92%990

Every number on this page was copied from the filing linked above. If a figure is wrong, send the filing that contradicts it and the correction runs at the top of this page.

§Share

Lester E Cox Medical Centers: CEO pay $2.0M, charity care 2.17% of expenses